Director Medicare Rac Audit Jobs in Rye, NY (NOW HIRING)

Our clinical operations are led by the former Executive Director of Care Transitions from the Mount ... Medicare/Medicaid billing audits. You know what auditors ask for, how to keep a business audit ...

Our clinical operations are led by the former Executive Director of Care Transitions from the Mount ... Medicare/Medicaid billing audits. You know what auditors ask for, how to keep a business audit ...

Provides billing department with information regarding resource utilization groups for Medicare ... RAC - CT is highly preferred * Registered Nurse in State of New Jersey Job Setting/Physical Demands ...

... audits. Knowledge of Medicare, Medicaid, Commercial, and Managed Care regulatory requirements ... Direct acute care clinical experience preferred. Experience: 7+ years of progressive leadership ...

Provides billing department with information regarding resource utilization groups for Medicare ... RAC - CT is highly preferred * Registered Nurse in State of New Jersey Job Setting /Physical ...

... audits. * Knowledge of Medicare, Medicaid, Commercial, and Managed Care regulatory requirements ... Direct acute care clinical experience preferred. Experience * 7+ years of progressive leadership ...

... Medicare and Medicaid pricing, and closed-loop payment and disbursement solutions to PACE ... audit-trail transparency with claims, billing, and finance stakeholders. * Procurement & RFP ...

The Director is responsible for the development, implementation, evaluation, and continuous ... audits. • Knowledge of Medicare, Medicaid, Commercial, and Managed Care regulatory requirements ...

The Associate Director will lead a highly experienced, close‑knit administrative team, oversee ... Medicare audits of MMC GME reimbursement submissions to the Center for Medicare and Medicaid ...

The Manager develops and implements coding education, oversees coding quality and audit programs ... ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, Medicare, Medicaid, and commercial payer reimbursement ...

Our clinical operations are led by the former Executive Director of Care Transitions from the Mount ... Medicare/Medicaid billing audits. You know what auditors ask for, how to keep a business audit ...

Review Medicare coverage analysis for appropriate procedure level designations. * Serve as the ... Prepare for NIH, BRANY and Sponsor audits and FDA inspections. * Serve on departmental and ...

Participate in audits, quality improvement, and interdisciplinary care planning. * Step in as ... Ensure that written physician certification for skilled services per Medicare guidelines are ...

The Director is responsible for the development, implementation, evaluation, and continuous ... audits. • Knowledge of Medicare, Medicaid, Commercial, and Managed Care regulatory requirements ...

Job Summary Essen Care Management is seeking a Director of Finance and Operations with deep ... audits, and implement corrective action plans as needed. • Stay current on Medicaid, Medicare ...

... audits, and implement corrective action plans as needed. Stay current on Medicaid, Medicare, and ... Direct experience with Health Home and/or Care Management billing in New York State. Working ...

The director will play a central role in protecting revenue, scaling operations, and supporting our ... audits, and implement corrective action plans as needed. • Stay current on Medicaid, Medicare ...

... audits, and implement corrective action plans as needed. * Stay current on Medicaid, Medicare, and ... Partner with Clinical Directors, Care Management Agencies (CMAs), and MCOs to optimize clinical ...

... audit readiness. Primary Responsibilities: * Risk Adjustment Strategy & Execution ... Lead enterprise risk adjustment strategy for Medicare Advantage, Medicaid, and Commercial risk ...

... Medicare & Medicaid Services, Scientific Registry of Transplant Recipients, and The Joint ... Conduct regular audits and reviews to ensure compliance with regulatory standards and identify ...